Individual
MRS. KATHRYN A HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1201 SEVEN LOCKS RD, SUITE 111, ROCKVILLE, MD 20854-2957
(301) 762-5020
(301) 294-7569
Mailing address
PO BOX 79632, BALTIMORE, MD 21279-0632
(301) 762-5020
(301) 309-3783
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R113593
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
416244700
—
MD
Enumeration date
09/28/2006
Last updated
09/07/2012
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